MRS. Michelle Marie Simmons

NPI #1619124666 in Joliet, Illinois

Provider Information

NPI Number: 1619124666
Entity Type: Individual
Name: MRS. Michelle Marie Simmons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 21, 2008
Last Updated: Aug 21, 2008

Practice Location

Address: 915 PRESCOTT DR
City: Joliet
State: Illinois
ZIP Code: 60432-0723
Phone: (815) 723-0813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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